The URL can be used to link to this page

Home My WebLink About1996-007991 - land alteration PERMIT CITY OF ORONO PERMIT TYPE: 2750 Kelley Parkway- P.O. Box 66 Permit Number: t=3i-DEQ I RIED brystal Bay, Minnesota 55323 f.�{ x,31 (612)473-7357 Date Issued: /r SITE ADDRESS: . :3195 WATERTi rWN RD JIB P. I .N . . 04-117-23-22-00 03 DESCRIPTION: User Permit Type LAND ALTERATION REMARKS: FEE SUMMARY: Ease Fee Total Fee $510 .00 CONTRACTOR: OWNER: - Applicant + RITTER TOM :1:19.5 WATERTOWN RD OR ANO MN SS356 a jk THE UI�iDERSICRIED HEREBY RE ST i�RI�I SSI N TO}MA R -At"' ~I', EATS , SPECIFIED AND AGREES-TO DD 'ALL SDR `44 TWI T'Cbfot X VITR L_ ORDNO ORDINANCES AND STATE OF mivtsotiv sur APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: 31`ai S W A'►t�fL�w �✓ -- PID: DESCRIP'T'ION OF WORK: Pt ZONING REVIEW BY: DATE APPROVED: S' z z--5 t. BUILDING REVIEW BY: N/✓+— DATE APPROVED: ----------------------------- FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes V/ No PLAN REVIEW Yes Noy SEWER CONNECTION STATE SURCHARGE Yes No �r. WATER CONNECTION INVESTIGATION FEE Yes No � PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) ---------------------------- ZONING CHECK LIST Zoning District: horeland District Fire Department: Post Office: Sch of District: Lot Area: Sq.ft. A res Width Depth Survey Submitted: Yes No Date of S ey: Proposed Setbacks: Front (Lake): Righ Side: Rear (Street): Left Side: Adjacent Structu s: Wetland: Building Height: Def. gt. Peak Hgt. Avg. Setback: Bluff Set ack: Lot Coverage: Exting Proposed Hardcover: 0- ' 7 -250' 0-500' 00-1000' Hardcover Vari ce Required: Yes No ate of Council Approval: Grading: St Approval Date: By Council Approval Date: Septic: Staff Approval Date. Zoning File # ution: # Resolution Date: RJn4ARKS (in house): BUILDING REVIE CHECK L _ UBC; CO STRUCTION E: Sq F t lae Per Sq Ftg Basement x —_ 1st Floor —_ 2nd Floor x Garage x x TO L Est' ated Co ru tion Value: $r Inspectio Required: Work eq ring Separate Permits: S' a lu bing Fire ardcover Re v M chanical Water Co ection Footing ptic Sewer C nnection Framing ireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) Q� Final Grading/Filling Electrical (State Permit) Other REMARKS (IN HOUSE): -------------------------- REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date BY: ------------------ REMARKS(TO BE NOTED ON PERMIT): 27 Total Fee: S DateReceived: Date Approved: Entered By: Permit#: CITY OF ORONO - BUII.DL tG PERIVIIT APPLICATION ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW`VILL BE STARTED -- ------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �jI9rJ`� � I�(,C ' ZIP: 616,6156 6 NAME OF OWNER: ��(Yl Ua��i ,� � PHONE: (home) I (work) VIAILTiVGADDRESS: *3l CITY: nZIP: ,5 CONTRACTOR: PHONE: MOBILE PHONE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECTIENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe indetail): STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROONIS: GARAGE STALLS: ATT. DET. ESTENIATED CONSTRUCTION VALUATION(excluding land): $ I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: fl DATE: 5 `Q d NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. w i s Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting§tate agency,political subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential dam:and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative dam, pursuant to section 13.82,subdivision S, to a law enforcement officer. The commissioner of revenue may Glace the notice required under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public, private or confidential. Upon his further request,an individual who is the subject of stored private or public dam on individuals shall be shown the data without any charge to him and,'if he desires, shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the dam need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional dam on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making, certifying,and compiling the copies. The responsible authority shall comply immediately, if possible, with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private dam concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data, including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. First Middle Last Address City State Zip Phone I understand my rights as stated above. Signature MA ' -� -+ -s-< t+:: -. l .r.a. i. •.tr= y k 4 is' : 5•..+.'�a^:�' y.. rte-:%•�iti_ •�isp.- 1 `��-i:�•t S"..�•.?ia%�:^=tr�s...3;'_ ,ri,r��_ ;�._ ��,•:.i�. �_T;�_4.='. _R'^�i.ii!•titT•:0+-7 -�. `✓'i�y4�=KT.�•-�.9�T hear;. •�w.t� "S>:^.R,�;:,7-•.ti 3F- f..:• :4 ♦ yr,• y .' ?.�^i.= _'•-:i ..t'-,r- -er.• _ -":= ..�a� st :a._r'-` -.�."._- Y.ar--MY±'�:..�.�:s_L-r. .1, .ts:.�h��..•`! ud►►' . S - - �a•�� Vis• '�"` .-4 v a.•� t-�..•." .•-.•• ✓•�.'+•� a:i[':��ia :J �.Sf�r•�?s�,f:=iY" '<`_ .�� :.��.+=•'•a��'f'i•• L� -S- - �S•fi- - f_." Lr .•l.•_��••' -.�'3�.s•- �'••- ;;,.i ..�r�_Y�eC�-..T,'i+'�s'�2.rn iJ.i T....i:r+••:.�c�i.s+� - 'l'L: ate^ t - :[ee-•.>t.e �':. LI•L .••w- mss,,•-.. -.J • , , ' �c_�=tea..sr�'= j t �R•� , ♦ / � 07 ti qb avlh�' -f' •S '' ..' e t� f 15a' '_�` �• - _- `..�; - _ _ °cis 1s` - _ - - - - ,a •T t N.-0--50 • - _ .a1 tet.:• ,yal _ .1�� - - . - ''�'J:-,1_.•...ice _- =a.I a w_ti w� .: • - �rsL •!� .• - �?' •f-=i'h i' .( •'!•C' y,�'ds•-• _ •�1^i'.p� -1 �r_i;' - ' �: _ .i'•^'_- _�:c•. •€'•.'•I-:••F. ::. �� .4:�i.�:�_-+.��t^4...:♦ v.. - I'.. 'ice - _ - iCi:tlsa-+�a.r-.f..1• .1•:•!'.` !.'�� •-.1• -:'4T'•Y:S• •,. �ZS•j'-:•• .1 vt\• ..?o?� vtr ♦s it• f.-t� ,•fw•aal k -:•'�• ��.`-'�• .!'•.i - _ :'l i•..� %1.- .rte•.:•7 >; - ~��• - ••i%';it:- .` S..e -�-:a'T .�•` -A:_ _ �" .r"~ -mss_.-•T 'u� - - - .:�= - i-oi .:rti�: ��'=i.- •: r •t:� •s .:�-z ri:o f+- 'r,• .. r- __ ?� ...fir 1 s^. yaF' � ay� i•..; '••it'j=}Z•..i Yi�a►1,`_.r'-::�'•I:�F�?�..._+' ••• "'"!'.'.•_''•=,'S: ,•. •�"•�r:..yI'-r' -�•.}_!rr:f•. .f..e�i.ti.. r:.-.t-.'-'�••i7 r''Cj--�r'•'-'-.-i R.v1:�'�1�'.. �5r��.:i - tt ♦ yrs�'�-%. •=.x:�f«ii:e. -�+.x�•►f► - +�L- v. �inau'- �%•i--' �„tom• •it - .1'1tY' .'.. -i 1• CWIL.».mm AND OL"rMyom The SUSSF L Co.34"-Urn A4-MM OCKITW D CITY OF ORONO . �� '�`}'� •} SITE PLAN X GRADING PLAN iRAPPROVED -F(GL Ako-ON10 .r •�_r; - -�'- `�- ❑ APPROVED WITH REVISIONSb""'. �G1v.Cor• o�Sac T/� 7 X223 ElDISAPP D !�'Jy 7ow .��oa�_ BY 7o•s.7 -�� DATE_._._ '- l137nv f ,. I ' . t ( 14 7_11U Acy NJ J i v �ro a V P.